LAVISTA PARK FAMILY DENTISTRY,LLC

TUCKER, GA
NPI1285177295
Other NameDR AYESHA RAHMAN
Entity TypeOrganization
Authorized ContactAYEHSA RAHMAN
Dentist
770-493-9992
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: GA  DN012696)
Enumeration Date2016-11-22
Last Update Date2016-11-22
Business Address
LAVISTA PARK FAMILY DENTISTRY,LLC
3939 LAVISTA RD SUITE 320E
TUCKER, GA 30084-5162
Phone number: 770-493-9992
Mailing Address
LAVISTA PARK FAMILY DENTISTRY,LLC
2018 MONTREAL RD
TUCKER, GA 30084-5203
Phone number: 770-493-9992